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CHARLES D. MANTER DO PC NPI 1457531808


NPI Information

NPI: 1457531808
Provider Name: CHARLES D. MANTER DO PC

Doing Business As: FAMILY MEDICAL PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2918 W 10TH ST
GREELEY, CO
ZIP 80634
Phone: (970) 352-3274
Get Directions

CHARLES D. MANTER DO PC is a family medicine in Greeley, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES D. MANTER DO PC NPI is 1457531808. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Medical Practice.

The provider's business location address is:

2918 W 10TH ST
GREELEY, CO
ZIP 80634-457
Phone: (970) 352-3274
Fax: (970) 352-3279

The provider's authorized official is Charles David Manter .
The authorized official title is Owner and has the following contact phone number (970) 352-3274.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 9/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine30988COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100522830MEDICAIDCOLORADO
2F27205MEDICARE UPINCOLORADO
3C462068MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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